Mod D Tech 17 Adult and Paediatric BLS Flashcards Preview

Technician Course MOD D 2016 > Mod D Tech 17 Adult and Paediatric BLS > Flashcards

Flashcards in Mod D Tech 17 Adult and Paediatric BLS Deck (27):
1

BLS

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2

BLS

BLS

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3

Primary Survey

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DANGER

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Response

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7

Airway

•Head tilt/chin lift to check and clear the airway for obstruction

•Adjust to jaw thrust if c-spine injury is suspected

Note: the tongue is the

most likely obstruction

to the airway

8

Breathing and circulation

•Look, listen and feel for breathing (min 10 seconds)

•Check carotid pulse at the same time

•Assess breathing for:

–Rate

–Depth

–Adequacy

–•Assist ventilations if less than 10 or more than 30 breaths a minute

9

If the patient is not breathing normally:

•It may be difficult to be certain there is no pulse

•If there are no signs of life (lack of movement, normal breathing or coughing) or there is doubt, start chest compressions

10

Cardiopulmonary resuscitation (CPR)

•Commence chest compressions (30) followed by 2 rescue breaths

••Continue at ratio of 30:2

••Compress to a depth of 5-6 cm

••Compress at a rate of 100-120/min

11

Maternal resuscitation

Special considerations

•Difficult airway management

–Engorged breasts

–Short obese neck

–Full dentition

•Difficult ventilation

–Spayed rib cage

–Raised diaphragm

•Reduced venous return

–Inferior vena cava compression

Special considerations

 

12

Maternal resuscitation

Management

•Don’t withhold or terminate pre-hospital resuscitation

•Consider I gel early in an attempt to protect the airway and reduce gastric insufflation

•Tilt the mother 15-30o laterally, using a wedge under the right-hand side

–Angle of tilt needs to allow high-quality chest compressions

•Treat as time-critical transfer, ensure pre-alert to hospital and ask for obstetrician to stand-by in A&E

13

Laryngectomy stoma patient

•Laryngectomy is the partial or complete surgical removal of the larynx, usually as a treatment for cancer of the larynx.

14

Tracheostomy/stoma

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15



Basic Life Support
(Paediatric)

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16

Chest Compressions

(Paediatric)

•Start chest compressions if:

  “there are no signs of life, unless you are CERTAIN that you can feel a definite pulse of greater than 60/min”

•Depress the sternum by at least one-third the depth of the chest

•Compress at a rate of 100 – 120/min

•Push “hard and fast”

17

Considerations

 

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Summary

Note incorrect placement of fingers. Avoid  contact with soft tissues under chin as this may occlude the airway.

Ensure fingertip(s) placed on point of chin.

Note effect of large occiput on airway.

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18

Pathways to Cardiac Arrest in Childhood

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Paediatric Emergencies

•The outcome of cardiac arrest in children outside hospital is even worse than in adults

••Children usually arrest because of hypoxia and acidosis due to respiratory or circulatory insufficiency

•Extensive cellular damage will take place before the heart actually stops

•The most important skill in managing paediatric emergencies is patient assessment

•Early recognition and management of developing respiratory distress or circulatory impairment or changed level of consciousness in a child will allow the clinician to rapidly transport the child to hospital for further urgent assessment and treatment

20

Pediatric Resuscitation

Newborn Basic Life Support

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Pediatric Resuscitation

•Dry the baby

•Keep them warm

•Assess

22

Pediatric Resuscitation
Assess

Assess

•Colour

••Tone

••Breathing rate

••Heart rate -

•Reassess every 30 seconds

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Possible Presentations

•Healthy – blue (pink within 90 secs), breathing, crying, good tone, heart rate >100/min (120-150/min)

 

•Less Healthy - Inadequate respirations,

      reduced tone, heart rate <100/min

•Ill - Inadequate respirations (or apnoeic), floppy, pale, heart rate <60/min or absent

24

Pediatric Resuscitation

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What do the APGAR Scores mean in practice?

Normal APGAR score 7 – 10

Resuscitative measures might be needed  APGAR 4-7

Immediate APGAR <4 resuscitation needed

Assess at 1min, 5 mins  re-assess if resuscitative measures have been needed

You should, however, treat the baby not the score!

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Post Cardiac Arrest

•ABCDE approach

• Controlled oxygenation and ventilation

• 12-lead ECG

• Treat precipitating cause

27

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